Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REPAIR SMP FACE 12.6-20CM
Downers Grove, IL
See all hospitals reporting CPT 12016 →Price type
Advocate Good Samaritan Hospital’s median price of $779 is 51% above the median hospital's median price ($516), higher than 69% of the 2,109 hospitals reporting CPT 12016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $556.40 | $556.40 | $556.40 – $556.40 |
| 2 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $577.27 | $577.27 | $577.27 – $577.27 |
| 3 | Ambetter medicare advantage case rate · outpatient | $603.89 | $603.89 | $603.89 – $603.89 |
| 4 | Molina medicare advantage case rate · outpatient | $603.89 | $603.89 | $603.89 – $603.89 |
| 5 | Oscar medicare advantage case rate · outpatient | $624.72 | $624.72 | $624.72 – $624.72 |
| 6 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $811.06 | $811.06 | $778.96 – $843.16 |
| 7 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $827.11 | $827.11 | $827.11 – $827.11 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $843.16 | $843.16 | $843.16 – $843.16 |
| 9 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $856.00 | $856.00 | $856.00 – $856.00 |
| 10 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $856.00 | $856.00 | $856.00 – $856.00 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $887.03 | $887.03 | $887.03 – $887.03 |
Last updated: Nov 4, 2025
See Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.